Individual
MR. CHADD JAMES MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-5596
(320) 257-5596
Mailing address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-5596
(320) 257-5596
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
55120
MN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
55120
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972782951
—
MN
Enumeration date
10/26/2007
Last updated
03/03/2016
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